Individual provider Active NPI

Elizabeth A Pollnow, MSW LCSW

  • Clinical Social Worker
  • Cheyenne, WY
National Provider Identifier
1124353842
Registry record updated Apr 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW 731 Issued in WY
Practice address
2321 Dunn Ave
Cheyenne, WY 82001-3214
Phone
(307) 640-1008
NPI assigned
Oct 14, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCSW 731 WY Primary

Addresses

Primary practice location

2321 Dunn Ave
Cheyenne, WY 82001-3214

Mailing address

2321 Dunn Ave
Cheyenne, WY 82001-3214
Phone (307) 640-1008

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110428000716 WY Practitioner - Clinical Social Worker 3375728777 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2315 Dunn Ave
Cheyenne, WY 82001-3214

2321 Dunn Ave
Cheyenne, WY 82001-3214
Phone (307) 640-1008

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW 731WYMDClinical Social Worker

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1255478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681344000000",
    "number": "1124353842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2321 DUNN AVE",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820013214",
            "telephone_number": "307-640-1008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2321 DUNN AVE",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820013214",
            "telephone_number": "307-640-1008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLLNOW",
        "first_name": "ELIZABETH",
        "middle_name": "A",
        "credential": "MSW LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-14",
        "last_updated": "2023-04-13",
        "certification_date": "2023-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WY",
            "license": "LCSW 731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cheyenne, WY

Sources for this page

Verify at the official NPI Registry.